title: Hysteroscopic metroplasty in patients with a uterine septum and otherwise unexplained infertility.
abstract: OBJECTIVE
  To evaluate the reproductive outcomes of patients with a uterine septum and otherwise unexplained infertility who underwent hysteroscopic metroplasty, and to compare them with those of patients with the same diagnosis who did not have hysteroscopic metroplasty.
  
  
  METHODS
  The present retrospective study included 127 patients with diagnosis of a uterine septum and otherwise unexplained infertility. The reproductive outcomes of 102 patients who underwent hysteroscopic metroplasty (group 1) and 25 patients who rejected the operation (group 2) were compared.
  
  
  RESULTS
  Of the 102 patients who underwent hysteroscopic metroplasty, 44 (43.1%) were able to achieve pregnancy, as compared with 5 (20%) of the 25 patients who did not undergo the operation (P=0.03). The abortion rate was 11.4% (5/44) in group 1, compared with 60% (3/5) in group 2 (P=0.02). The live birth rate was 35.3% (36/102) in group 1, as compared with 8% (2/25) in group 2 (P=0.008).
  
  
  CONCLUSIONS
  The results indicate that hysteroscopic metroplasty improves reproductive outcome for patients with a uterine septum and otherwise unexplained infertility.
authors.affiliation: Department of Reproductive Endocrinology, Zekai Tahir Burak Woman's Health Education and Research Hospital, Ankara, Turkey. esratonguc@yahoo.com
authors.forename: Esra A
authors.initials: EA
authors.lastname: Tonguc
authors.forename: Turgut
authors.initials: T
authors.lastname: Var
authors.forename: Sertac
authors.initials: S
authors.lastname: Batioglu
mesh_terms: D000022:Abortion, Spontaneous / Q000453:epidemiology / Q000209:etiology; D000328:Adult; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D007247:Infertility, Female / Q000209:etiology / Q000601:surgery*; D011247:Pregnancy; D018873:Pregnancy Rate; D012189:Retrospective Studies; D016896:Treatment Outcome; D014599:Uterus / Q000002:abnormalities / Q000601:surgery*; D055815:Young Adult